Chapter 25: Face and Neck Injuries Flashcards Preview

What is the correct term for the white of the eye?

sclera

In what manner should the EMT flush the eye when there is a foreign body in it?

the nose to the outside of the eye

3

When treating a patient with an impaled object in the eye, the EMT should:

stabilize the object in place

4

How long should the EMT irrigate a burn to the eye caused by a strong acid or alkali?

20 minutes

5

When an eyeball has been displaced from its socket, what should the EMT do?- Cover the eye.- Stabilize the eye.- Cover both eyes.- all of the above

all of the above

6

When a patient has one pupil larger than the other, the EMT should suspect:

a head injury

7

What is another name for the skull?

cranium

8

After taking standard precautions, the EMT should focus on the patient's:

airway

9

Anytime there are injuries to the face or head, the EMT should suspect:

spinal injuries

10

What is the "halo test"?

a test for CSF in the blood

11

The presence of air in the soft tissue produces a characteristic crackling sensation known as:

subcutaneous emphysema

12

After taking standard precautions, what should the EMT do to control epistaxis?

lean the patient forward

13

Which of the following statements is true regarding facial fractures?- Be sure to remove and save any loose teeth or bone fragments from the mouth.- Facial fractures are always an acute emergency.- Facial fractures generally heal themselves.- You should transport a patient with a facial fracture directly to the plastic surgeon.

- Be sure to remove and save any loose teeth or bone fragments from the mouth.

14

Which of the following statements is true regarding facial fractures?- Be sure to remove and save any loose teeth or bone fragments from the mouth.- Facial fractures are always an acute emergency.- Facial fractures generally heal themselves.- You should transport a patient with a facial fracture directly to the plastic surgeon.

- Be sure to remove and save any loose teeth or bone fragments from the mouth.

15

In face and neck injuries, your priorities are to prevent further injury to the ____ , manage the airway and ventilation of the patient, and control breathing.

cervical spine

16

Airway compromise may be caused by:- ______ into the airway- swelling in and around the structures of the airway located in the face and neck- and injuries to the _______ that interfere with normal respiration.

- heavy bleeding into the airway- swelling in and around the structures of the airway located in the face and neck- and injuries to the CNS that interfere with normal respiration.

17

To control heavy bleeding from soft-tissue injuries to the face, use _____ with a dry, sterile dressing. If brain tissue is exposed, use a ______ dressing.

To control heavy bleeding from soft-tissue injuries to the face, use direct pressure with a dry, sterile dressing. If brain tissue is exposed, use a moist, sterile dressing.

18

Always check for ____ inside the mouth because this may produce airway obstruction.

bleeding

19

Save ____ pieces of skin and tissue, and transport them with the patient for possible reattachment at the hospital.

avulsed

20

Maintain a high index of suspicion for patients with unequal pupils—this sign may indicate an....

illness or an injury to the brain

21

If a foreign body is on the underside of the eyelid, remove it gently with a ______. Never remove foreign bodies stuck to the cornea.

cotton-tipped applicator

22

Be alert to clear fluid draining from the ears or nose. This may indicate a _____.

basilar skull fracture

23

Be alert to the possibility of an _____ from an open neck injury. Place an _______ over the site, and provide direct pressure.

air embolism, occlusive dressing

24

The opening at the base of the skull is called the ____________.

foramen magnum

25

The bony socket that the eye sits in within the skull is called the ____________.

orbit

26

The clear membrane that allows light to enter the eye is called the ____________.

cornea

27

What method should be used to remove a foreign object on the surface of the eye?

gently flush the eye with saline solution

28

How should an object impaled in the eye be managed?

1. Prepare a doughnut ring of gauze.2. Place the ring over the eye to hold the impaled object in place.3. Secure it with a dressing.

29

Does a burn from ultraviolet light become immediately painful?

no

30

the following should alert you to a possible _____- Unequal pupils; eyes not moving or looking together- inability to follow movement of fingers- bleeding under the conjunctiva- protrusion or bulging of the eyes

head injury

31

How should a patient with heavy bleeding from the nose be treated?

place the patient in a sitting position, leaning slightly forward, and pinch the nostrils together.